| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $2,536.00 | $7,500.00 | |
BCBS
| Facility | $1,783.52 | $2,813.12 | $4,461.10 | |
Medica
| Facility | $127.69 | $197.58 | $2,951.70 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |